Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac Technique in Management of Large Inguinoscrotal Hernia; Randomized Clinical Trial

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: The Egyptian Journal of Hospital Medicine Pan Arab League of Continuous Medical Education Ain Shams University Volume:
Keywords : Laparoscopic Transabdominal Preperitoneal Approach with Abandon Sac    
Abstract:
ABSTRACT Background: Inguinoscrotal hernia is the commonest type of all hernias. Although, Lichtenstein tension-free technique was the main procedure for its repair, laparoscopic transabdominal preperitoneal (TAPP) approach has been widely used, but with a great challenge for large size hernia. In this article, we described a modified laparoscopic trial in order to overcome this obstacle by transecting the large hernia sac, vice complete intra-abdominal inversion. Objective: This study aimed to evaluate the initial results of a modified TAPP technique (abandon sac trial), in laparoscopic management of large inguinoscrotal hernia type I. Patients and methods: Our study was conducted at Zagazig University Hospitals, on 50 cases of large inguinoscrotal hernia type I through the period from January 2021 and June 2022. Results: As regards surgical results, both scrotal edema and hematoma were reported in 6% and seroma in 12%. While there was no detected cases of either infection, funiculitis, chronic groin pain or recurrence. Postoperative pain was mild to moderate, and the hospital stay was 1-2 days only. Conclusion: A large inguinoscrotal hernia type I, can be managed safely with introduction of a slight modification on the TAPP laparoscopic method (abandon sac technique). With this modification, big size hernias will have a chance to be managed laparoscopically and obtained its advantages as small wound size and marked reduction of both postoperative pain, and recurrence.
   
     
 
       

Author Related Publications

  • Mustafa Mohammed Mustafa Aidi, "استخدام رقعة محلية لمنع حدوث ضيق بالشرج اثناء استئصال البواسير ROLE OF SIMULTANEOUS V-Y ADVANCEMENT FLAP DURING HEMORRHOIDECTOMY MILLIGAN-MORGAN IN PREVENTING ANAL STENOSIS", International journal of advanced research, 2016 More
  • Mustafa Mohammed Mustafa Aidi, "دراسه مقارنه ما بين استخدام طريقة قياس الفارادو وطريقة قياس ريباسا فى تشخيص الالتهاب الحاد بالزائده الدوديه Comparative Study between Alvarado Score& Ripasa Score in Diagnosis of Acute Appendicitis", Journal of surgery, 2018 More
  • Mustafa Mohammed Mustafa Aidi, "دراسة فاعلية وامان استئصال الزائده الدوديه بالمنظار الجراحى للسيدات الحوامل Safety and Efficacy of Laparoscopic Appendectomy in Pregnant Females", World journal of laparscopic surgery, 2018 More
  • Mustafa Mohammed Mustafa Aidi, "دراسة فاعلية استخدام الدعامه المعدنيه ذاتية التمدد و ذات الاتجاهين والشكل Y فى علاج الضيق السرطانى للقنوات المراريه عند التفرع Efficacy of Y-shaped bilateral self-expandable metallic stent placement for the management of malignant hilar biliary strictures", The Egyptian journal of surgery, 2019 More
  • Mustafa Mohammed Mustafa Aidi, ": دراسه مقارنه ما بين استخدام حقن الفوم لغلق الدوالى مدعوما بالاشعه التلفزيونيه و الغيار الجراحى متعدد الطبقات فى علاج القرح الوريديه المزمنه Duplex-guided foam sclerotherapy versus multiple-layer compression therapy in the treatment of chronic venous ulcers", The Egyptian journal of surgery, 2020 More

Department Related Publications

  • Mohamed Mahmoud Mokhtar, "Comparison between the Bone Cutter With thermal Cautery, Conventional Method, Plastibell and Gomco for Circumcision in Neonates and Infants", THE EGYPTIAN JOURNAL OSPITAL MEDICIN, 2022 More
  • Sam Mohamed Ali Amr, "Ordinary Dressing versus Dressing with Total Cast Offloading in Management of Diabetic Foot Heel Ulcer, Comparative Study", Zagazig university, 2022 More
  • Walid Ahmed Abdel Hadi Hassan, "ALL IN ONE TECHNIQUE VERSUS LICHTENSTEIN TECHNIQUE FOR TREATMENT OF INGUINAL HERNIA IN ZAGAZIG UNIVERSITY HOSPITALS.", International journal Aadvanced Research, 2019 More
  • Walid Ahmed Abdel Hadi Hassan, "A Comparative Study between Laparoscopic Repair and Open Repair of Pediatric Inguinal Hernia; Outcomes and Benefits", ACTA SCIENTIFIC paediatrics, 2019 More
  • Mohamed Ali Baghdadi, "VALUE OF CRITICAL VIEW OF SAFETY TECHNIQUE IN LAPAROSCOPIC CHOLECYSTECTOMY", International Journal of Advanced Research, 2017 More
Tweet